State Consultant WASH in Health
Consultant, Monitoring, Evaluation, Policy, Research
Application Email : email@example.com
Closing DateJun 15 2021
Title of consultancy: State Consultant WASH in Health
Closing Date: 15 June 2021
TERMS OF REFERENCE FOR CONSULTANTS/INDIVIDUAL CONTRACTORS
1. BACKGROUND / RATIONALE
Delivering quality, people-centred health care for all demands improved water, sanitation and hygiene (WASH) facilities, services in health care facilities. Provisioning adequate quality water, access to sanitation facilities and appropriate hygiene behaviour waste management, environmental cleanliness in health care facilities is very much significant at such an unprecedented moment, when coronavirus disease is exposing key vulnerabilities in health systems mostly as inadequate Infection Prevention and Control (IPC). Health care associated infections (HAI) are a constant risk to care seekers, health staff and communities. Weak, poorly functioning WASH and IPC programmes result in a vicious cycle of widespread infection, antibiotic use and misuse and spread of anti-microbial resistance (AMR). Effective WASH and IPC will reduce the spread of all types of infections – including resistant ones.
As per SRS 2018, in Chhattisgarh 11.5 percent of children die within first year that is 11.8 percent at rural and 9.9 percent in urban. Neonatal mortality rate (less than 29 days) in Chhattisgarh is 29 and ranges from 22 in urban and 30 in rural. Early neo-natal mortality rate, i.e. number of infant deaths less than seven daysof life per thousand live births, forms an important component of infant mortality rateand more specifically of the neo-natal mortality rate.In Chhattisgarh the early neo-natal mortality rate has been estimated at 22 and ranges from 23 in rural areas to 19 in urban areas. The peri-natal mortality rate (PMR - the number of still births and infant deaths of less than 7 days) in Chhattisgarh has been estimated to be 32 and ranges from 33 in rural areas to 27 in urban areas.Maternal mortality at 159 per 100000 live births annually, is also a major contributor of new born deaths.
Data from Specialized New-born Care Units (SNCUs) MIS 2020 from Chhattisgarh suggests that 17.3% of the newborn deaths are caused because of sepsis. In Chhattisgarh, 70% of the IMR (SRS Statistical report 2018) is due to neo natal mortality and sepsis being the major cause for these deaths and potential Health Care Associated Infections (HCAIs) directly associated with infection due to poor WASH in health care institutions. As per Lancet 2000, up to 50% of total Health Care Associated Infection (HCAIs) could be prevented, majorly through effective WASH in health measures. The optimum impact of saving a child is ensured through providing safe and infection free environment around birth, i.e. at health centres.
To ensure infection free environment in health care facilities, UNICEF is providing technical and handholding support to enhance WASH in health facilities (HF) especially focussing on labour room, SNCU, ANC/PNC (Ante Natal and Post Natal Care) wards etc. in both the HPD in the state, based on request of Directorate of Health, Govt. of Chhattisgarh improved WASH facilities are part of infection control. As part of this initiative, National Health Mission (NHM)CG and UNICEF will build capacity of health professionals in both the HPDs including all District Hospitals (DH), all Community Health centres (CHC), all Primary Health Centres (PHC) and all Sub Health centres (SHC). Special focus will be given to the LaQshay facilities (Labour Room Quality Improvement Initiative).
UNICEF have successfully tested the initiative across few identified facilities in 2 districts (Dantewada, Bijapur) of Chhattisgarh. During the roll-out of the pilots several tools have already been developed which are ready to be used. In 2021-2022 UNICEF would roll out the s initiative across other HCFs in Dantewada, Bijapur and 2 more districts (will be finalised in consultation with NHM). UNICEF also wants to keep its advocacy efforts to roll-out the initiative across state.
Further the consultant would also support various stakeholders in promoting and monitoring the COVID sensitive behaviours towards improving WASH in HCFs. In the current context of COVID 19 pandemic technical support to health department would be in development of plan, capacity building of key stakeholders, community sensitization, development of knowledge product, case study and reporting by contextualizing COVID 19 efforts and innovations.
This assignment will be able to contribute to the output 3 of Chhattisgarh WASH RWP for 2021-22.
2. PURPOSE OF ASSIGNMENT
Purpose of this assignment is to support National Health Mission (NHM)-CG in developing capacities of Health Care Staff for improvement of WASH facilities in Health Centres in two districts. Special focus will be on point of care quality improvement (PoCQI) such as at labour rooms, post-natal wards, Special New-Born Care Units (SNCUs), ANC/PNC units, Paediatric wards and Out Patient Departments (OPD). Documentation and sharing of these initiatives will further help to scale up across the State.
The purpose of this assignment is to hire the services of a technical consultant/expert to strengthen the WASH infrastructure, services and practices around infection control in HCFs. The expert will also strengthen the infection control and bio-medical waste facilities in Dantewada and Bijapur districts in collaboration with CHMO and district administration.
In 2022 the person will also support in rolling out the key policies, guidelines, and initiatives through planning, implementation, monitoring of the progress regarding infection control in the state and additional two more focused districts. The focus of consultant will be on institutionalization of infection control measures within NHM. The person will support the district and state NHM to build the capacity at state, district, and block officials.
The key objectives of this consultancy include:
5. MAJOR TASKS TO BE ACCOMPLISHED
First phase of the TOR would be from 1 July 2021 to 15 June 2022 (11.5 months) and Phase two would be after 15 days gap from 1 July 22 to 31 Dec 22 (6 months).
6. DELIVERABLES AND DEADLINES
Specific service / outputs to be delivered at a specific time as per stated objectives and performance / quality requirements. Must include capacity building deliverables.
7. DUTY STATION
The consultant will be based in Raipur.
working under the direct supervision of UNICEF WASH Specialist and in close coordination with UNICEF Health Specialist.
9. OFFICIAL TRAVEL INVOLVED (ITINERARY AND DURATION)
Travel to the districts to oversee implementation and monitoring of communication activities. approx. 4-5 days per month to districts in Chhattisgarh. Total approx. 40 days during the year in phase I and 28 days in phase II. Travel is subject to COVID-19 pandemic and restrictions, if any. In some case, there might be the need to travel to other states to attend meetings/workshops/conferences as deemed fit.
10. cESTIMATED DURATION OF CONTRACT (PART TIME / FULL TIME)
01 July 2021 – 31 December 2022 (17.5 months)
After the completion of 11.5 months, there is a 15-day mandatory break.
The contract will be renewed for Phase 2 deliverables on the basis of performance review, programmatic priorities and availability of funds.
11. QUALIFICATIONS / SPECIALIZED KNOWLEDGE / EXPERIENCE/ COMPETENCIES (CORE/TECHNICAL/FUNCTIONAL) / LANGUAGE SKILLS REQUIRED FOR THE ASSIGNMENT (Please use as applicable)
12. SELECTION PROCESS:
Quality and Cost Based Selection (QCBS)
QCBS (Technical Evaluation Criteria - with weights for each criteria)
CVs of the potential candidates for the proposed positions shall be selected from the applications received through advertisement by UNICEF in agreed platforms. Thereafter, a Technical Desk Review (TDR) of the selected CVs would be done by a joint team of 03 persons. Candidates shortlisted based on the TDR shall be interviewed by a joint panel of 3 persons. TDR and PI together will form the technical evaluation that would require minimum of 56 marks for opening of financial bid.
i. Weightage of Technical & Financial 80/20 (Technical / Financial)
i i.Technical Evaluation Criterion
The CVs selected from the open advertisement shall be reviewed along the first 3 points of the table provided below. This would be treated as the Technical Desk Review (TDR) for 40 marks. A Personal Interview (PI) of 40 marks shall be conducted for all the candidates shortlisted based on the TDR. TDR and PI together will form the Technical Evaluation of 80 marks out of the total 100 marks. Financial bid shall be opened for those candidates only who would be acquiring a minimum of 70% marks (56 Marks) out of the total 80 marks in the Technical Evaluation Balance 20 marks shall be used for the Financial Evaluation.
13. PAYMENT SCHEDULE
Payment will be linked to deliverables. Travel cost will